PeaceHealth is seeking a Care Manager/Medical Social Worker - Care Management (Per Diem) for a per diem, Variable shift position.

Req ID: 155698

JOB SUMMARY

Responsible for identifying and interacting with medically and psychosocially complex patients and families who are likely to benefit from care management and meet high risk criteria and for coordination of discharge planning services for these patients in collaboration with RN Care Management and other members of the care team.

ESSENTIAL FUNCTIONS

Screen and identify patients who need care management per high risk criteria.

Assess, develop, implement and monitor a comprehensive discharge plan of care through an interdisciplinary team process in conjunction with the patient and family. Collaborate with the multi-disciplinary team to identify problems or needs that require special planning, intervention, teaching or follow-up.

Identify key problems, strengths and resources to be addressed in the discharge plan of care. Coordinate and facilitate improved ability to comply with plan of treatment; counseling or support needed to cope with situation; improved ability to access appropriate level of care due to lack of financial resources or lack of available service.

Actively support measures that promote effective use of resources.

Identify, plan and arrange for appropriate services applying a knowledge of services available in the community, state, and federal health regulations and admission, discharge and appropriate level of care. Coordinate effective planning and arranging for needed services upon discharge.

Intervene by arranging services, education and providing psychosocial support to prepare the patient and their family to manage their healthcare needs within the acute care setting and post discharge.

Coordinate with the interdisciplinary team and community resources when appropriate, regarding the multiple details of transitional care management plan. Consult with physician as indicated.

Works with patients identified and referred to them by RN Care Management and/or other members of the care team, as well as by patients/families.

Conducts evaluation to include appropriate documentation and the effectiveness of the Care Management services. Collaborates with team members to identify cause and adjust plan if patient's health status is not improving.

May counsel patients and/or families to facilitate and/or participate in community care services, in coordination with the physician and treatment team. Works as an integral member of the treatment team in the coordination of treatment and transition of care planning. Assesses and addresses both mental health and chemical dependency conditions. May perform risk assessments for suicidality and homicidality.

Performs other duties as assigned.

QUALIFICATIONS Required Unless Otherwise Stated

EDUCATION:

Master's degree in social work (MSW).

In lieu of an MSW, the following qualifications and experience may be accepted:

Master's degree in counseling or related field with a minimum of two years' work experience in a medical or healthcare setting, social service agency, or community organization focusing on health and/or welfare issues.

Bachelor's degree in social work or related field with a minimum of four years' work experience in a medical or healthcare setting, social service agency, or community organization focusing on health and/or welfare issues.

EXPERIENCE/TRAINING:

Minimum of two years employment in a healthcare setting or community agency dealing with health and/or welfare issues preferred.

Demonstrated knowledge of community health, welfare and social agencies.

Demonstrated knowledge of and ability to apply age specific principles of growth and development and life stages to meet each patient's needs.

Demonstrated proficiency in social work practice.

LICENSE/CERTIFICATION:

Certification in Case Management highly preferred.

WASHINGTON:

Must have WA State credential in order to practice, either Washington State Agency Affiliated Counselor Registration (CAAR) – applied for and received within 90 days of hire OR one of the other applicable Social Work, Therapist or Counselor licenses at the time of hire.

KNOWLEDGE/SKILLS/ABILITIES:

Excellent verbal and written communication skills including sensitivity to other cultures and ethnicities.

Please apply online to be considered. For full consideration of your skills and abilities, please attach a current resume with your application.

About PeaceHealth

PeaceHealth, based in Vancouver, Wash., is a not-for-profit Catholic health system offering care to communities in Washington, Oregon, and Alaska. PeaceHealth has approximately 16,000 caregivers, a multi-specialty medical group practice with more than 900 providers and 10 medical centers serving both urban and rural communities throughout the Northwest. In 1890, the Sisters of St. Joseph of Peace founded what has become PeaceHealth. Today, PeaceHealth is the legacy of its founding Sisters and continues with a spirit of respect, stewardship, collaboration and social justice in fulfilling its Mission.

We offer competitive compensation, a robust benefits package and a collaborative, Mission-driven work environment! To learn more about working at PeaceHealth and the Bellingham community please visit our homepage: www.peacehealth.org/careers .

PeaceHealth is committed to providing equal employment opportunities to all qualified job applicants and employees without regard to the following statuses: protected veteran; qualified individual with a disability; race; ethnicity; religion; gender; pregnancy; gender identity; national origin; age; genetic information; sexual orientation; or any other protected status in accordance with local, state, or federal laws.

The above information is intended to indicate the general nature and level of work performed by this position. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of caregivers assigned to this job.

PeaceHealth Physicians are as diverse as the communities they serve, but have the following in common:Dedication to carrying on the healing mission of Jesus Christ by promoting personal and community health, relieving pain and suffering and treating each person in a loving and caring way.A shared vision of every patient receiving exceptional, compassionate evidence-based care, every time, every touch.